Direct all NHP members to LabCorp, Inc. service centers for outpatient laboratory (lab) procedures. If a participating care provider draws the specimen in the office, send the specimen to LabCorp, Inc.
Home health care agencies are responsible for delivery of drawn specimens to one of the LabCorp, Inc. service centers.
We pay lab services according to your Agreement. They must be performed by a participating care provider that is a facility for:
- Emergency room services;
- Ambulatory surgery;
- Transfusions; or
LabCorp, Inc. must process clinical laboratory specimens drawn at a skilled nursing facility.
Use of Non-Participating Laboratory Services
This applies to all participating care providers. It also applies to laboratory services, clinical and anatomic, ordered by any practitioner.
You are required to refer laboratory services to participating laboratories, except as otherwise authorized by NHP. To get more information on participating laboratories:
- Go to LabCorp.com or call 800-833-3984, option #3 to determine how to conveniently access their services.
- Call Provider Services at 877-842-3210.
In the unusual circumstance you require a specific laboratory test for which you find no participating laboratory is available, please contact NHP UM at 877-842- 3210.
LabCorp requires this information to make sure accurate testing and billing:
- Member’s NHP health care ID number
- LabCorp requisition forms with all required fields completed
- Specific test orders using test codes
- Diagnosis codes